Senior Living

Organizations dedicated to delivering premier senior living services are all too familiar with the economic and regulatory pressures of the current healthcare environment. Now more than ever, business owners, management and staff have been forced to address many issues and challenges, including:

  • Increased accountability and outcomes on operations.
  • Development of “Best Practices” governance and behavioral guidelines and standards.
  • Monitoring compliance with regulatory policies and procedures.
  • Implementation of operational and financial controls in new services and initiatives.

In addition, skilled nursing facilities, home health agencies, assisted living facilities, rehabilitation units and other healthcare facilities are also subject to oversight of many regulatory and governing bodies. Whether it is the establishment of corporate compliance programs or changing rules and regulations, they are continuously faced with the challenge of providing the best experience to a diverse population of patients and residents while always adhering to the strict provisions of the Department of Health, Medicare, Medicaid, the Internal Revenue Service and other oversight agencies.

Our Withum professionals are experienced and at the forefront of the issues and regulations that affect senior living industry and service some of the most reputable facilities in the region. We understand your needs, and we have the resources and expertise required to put your organization in a position of strength.

In addition to traditional accounting, audit and consulting services, we also provide services specific to the senior living community including the preparation of Medicare and Medicaid Cost Reports, business valuations, budgets and forecasts.


While working with your Ownership, Board and Management in the financial process, we can provide the following evaluations for you to further understand your organization:

  • Comprehensive assessment of risk
  • Internal control effectiveness over primary accounting transactions and ancillary supporting systems
  • New regulatory, compliance and technical requirements
  • Regulatory and legislative trends
  • Corporate governance initiatives


We have experience working with clients using numerous general ledger, clinical and billing software systems. Our computer-based audit approach includes the utilization of state-of-the-art software, which gives us the ability to work directly with your software in conducting audit procedures. Our computer audit and testing capabilities include the ability to download your data into electronic format and then perform data extraction techniques on the data for analytical and other purposes.

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Our Team

Michael A. Serluco
Michael A. Serluco
Joseph J. Perez
Joseph J. Perez
Eric Strauss
Eric Strauss
The information contained herein is not necessarily all inclusive, does not constitute legal or any other advice, and should not be relied upon without first consulting with appropriate qualified professionals.